Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions Assigns specified codes to medical diagnoses with some coding of specific clinical procedures.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

1. Ensures assigned team:
   • Works all encounters received from providers;
   • Reviews all encounters, electronic or paper for accuracy;
   • Monitors work ques, and effectively communicates across all entities.
2. Review and corrects coding rejections. Responsible for coding ICD-10, CPT and HCPCS codes from written documentation. In depth knowledge of coding rules and payer guidelines.
3. Responsible for coding E/M outpatient and inpatient services. Surgical Coding knowledge is a plus. May perform internal auditing functions.
4. Maintain a high level of performance in department productivity and accuracy. Effectively communicated coding trends and documentation requirements with physicians and practice managers.
5. Provides training for new coders. Assists staff when manager is not available. Assists Manager in allocating workload to staff when requested. Assists Manager with departmental reporting/special projects.